About this trial
This study aims to compare awake thoracic epidural anesthesia and general anesthesia in thoracotomy.
Eligibility criteria
Qualifiers
Age from 18 to 75 years old.
Both genders.
American Society of Anesthesiologists (ASA) physical status classification II or III.
Scheduled for thoracotomy.
Disqualifiers
Difficult airway management,
Hemodynamically unstable patients, obesity (body mass index >30).
Absolute contraindication to thoracic epidural anesthesia such as (patient refusal, allergy to local anesthetics, coagulopathy, active neurologic disorders, skin infection at insertion site, uncooperative patients, uncontrolled cough, and unfavorable anatomy for thoracic epidural).
Neurological disorders: risk of seizure, unable to cooperate, intracranial mass or brain edema, extensive pleural adhesions or previous pulmonary resections, hypoxemia (PaO2 <60) or hypercarbia (PaCO2 >50)
Trial design
Treatments tested in this trial
- Awake thoracic epidural anesthesia
- General anesthesia